Yes, I am interested in Attending RailCamp. Please send me more information.

(Please Print Or Type).

First Name: ______________________________________
Middle Name: ______________________________________
Last Name: ______________________________________
Age: ______________________________________
Address: ______________________________________
Address (cont): ______________________________________
City: ______________________________________
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Location Preference:

Steamtown National Historic Site (Scranton, Pennsylvania)
Nevada Northern (Ely, Nevada)
Will attend either camp

I am a high school (check one):

OR


Freshman Sophomore
Junior Senior

I will enter high school as a Freshman in Fall 2009.

Mail this form to:

    RailCamp
    National Railway Historical Society
    100 North 20th Street, 4th Floor
    Philadelphia, PA 19103-1443
or FAX to: (215) 963-9785

www.RailCamp.com